Cardiology. inatsekeratu mtsempha wamagazi kulambalala kumezetsanitsa

Mmodzi wa matenda chachikulu ndi ambiri a anthu ankaona kuti ndi matenda a mtima. Komabe, ikusonyeza kuchita, nthawi zambiri, anthu ndi maonekedwe mavuto kapena kuwawa pachifuwa, poganiza kupanda mpweya kapena stiffness mpweya, osati mofulumira kuthana ndi akatswiri ankaona kuti asagwidwe nokha. Kunyalanyaza mawonetseredwe woyamba wa matenda aakulu, motero kwambiri kungafoole chithandizo zina ndi kuchira. kupeza nthawi yake kwa dokotala zipangitsa woyenera matenda ndi mankhwala mankhwala oyenerera. Tikumbukenso kuti zizindikiro za matenda a mtima, opaleshoni oyambirira (opaleshoni mapangidwe workaround, ndi constriction ya chotengera akhudzidwa) okhoza kupulumutsa miyoyo ndi kubwerera wodwalayo ndi moyo wathanzi ndi wosangalala.

matenda a mtima ndi limodzi mwa (chidule) ziwiya chimodzi kapena zingapo zofunika zakudya za minofu mtima. Inatsekeratu mtsempha wamagazi kulambalala umaonetsera wathanzi magazi mu mtsempha wamagazi kapena mtsempha kwambiri. Choncho, minofu mtima adzalandira yachibadwa kotunga magazi.

Kuti tidzalowe mtima wa ang'ambe thupilo ndi pakati pa chifuwa. Komanso anagwira odulidwa (mabala) pa malo woperekayo imene dokotala adzadula mtsempha wamagazi kwa kulambalala.

More adalipo amaonedwa mkati thoracic mtsempha wamagazi kapena zozungulira mtsempha wamagazi manja. Iwo amathandizanso pa magwiridwe kwambiri ndi durability wa shunt lapansi. M'mbuyomo ntchito zozungulira mtsempha wamagazi manja pansi atafufuza kuthandiza kupewa mavuto osiyanasiyana amene akhoza kugwirizana ndi mpanda wake.

Kuchotsa mtsempha wamagazi mammary ikuchitika pansi sternum lapansi. Monga ulamuliro, ntchito mtsempha wamagazi kumanzere, koma mchitidwe ndi ntchito ya kumanja. Pogwira angiography anawulula pakalibe (kukhalapo) a zotupa atherosclerotic ndi awiri okwanira mtsempha wamagazi ndi.

Madokotala ankachita ngati mtsempha wamagazi a mpanda mwendo.

Kulambalala opaleshoni mtima ali zitatu zazikulu. Yoyamba njira amagwiritsa yokumba magazi, lachiwiri - phukusi la ikuchitika popanda kugwiritsa ntchito "stabilizer." Mtundu wachitatu ntchito ikuchitika ndi amacheka kochepa opaleshoni (endoscopic opaleshoni).

Kusankha mtundu makamaka zitha zochokera zotsatira za angiography inatsekeratu ndi zochita za matenda wolumikizira.

Inatsekeratu mtsempha wamagazi kulambalala opaleshoni ndi kulambalala mouzirira yekha matenda ophatikizana mtima (postinfarction kumanzere yamitsempha yamagazi aneurysm, anapeza kapena matenda obadwa nawo a mtima amafunika kuti alowererepo opaleshoni), kapena nkhani ya zotupa multifocal ya mitsempha inatsekeratu. Mu ndondomekoyi, opaleshoni angathe kuchitidwa mtima kumangidwa. Kupereka makope yokumba kwa minofu mtima zikugwirizana cannulas, amene olumikizidwa kwa chipangizo. Pa nthawi imeneyi, dokotala amalenga anastomosis pakati mtsempha ndi mtsempha wamagazi inatsekeratu. Pambuyo pake, ayambe mtima ndi msempha ndi sutured ku mapeto wosiyana mtsempha. Kutalika kwa phukusi zimadalira kapangidwe kake ndi makhalidwe munthu wodwala.

Normal kugwira ntchito njira ya opaleshoni amalola kuchita inatsekeratu mtsempha wamagazi kulambalala kumezetsanitsa ndi kumenya mtima. Limagwiritsa ntchito njira kuti kumachepetsa Phokoso pa phukusi mtima.

Kugwiritsa amacheka kochepa pa opaleshoni angapo ubwino. Choyamba, matenda ndi zokayikitsa wodwalayo. Chachiwiri, inatsekeratu mtsempha wamagazi kulambalala opaleshoni kudzera amacheka ang'onoang'ono kumachepetsa kutaika kwa magazi. Komanso wodwalayo ali ndi mwayi kutsokomola ndi kupuma kwambiri mu nthawi postoperative.